Spine Strengthening

Importance of measurement

By on December 24th, 2016

How do you manage your diabetes or heart disease? You are likely measuring your blood sugar, cholesterol, or blood pressure.

How about your back pain? It is just as important to measure your progress when undergoing a rehabilitation regimen. Measurement means acquiring both patient-reported outcomes (PROs) and clinician-based outcomes (CBOs). It is important to follow standardized PROs to follow patient’s perception of their progress. When undergoing rehabilitation, it is also important for clinicians to measure and follow clinical progress closely. One important factor to measure is strength. Strengthening of the neck or low back extensors has been shown to significantly reduce pain and improve function in those suffering from chronic back and neck pain. Exercise is the only meaningful way to increase functional capacity.

We know that muscles respond to progressive overload. To increase the load on muscles, we need to isolate the muscles, then to increase the intensity, frequency, or duration of movement to exceed normal activity level. In our SpineZone Medical Fitness clinics, we have seen how this objective increase in strength is correlated with the improvement in patient-reported outcomes, function, and spinal health.

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Kamshad Raiszadeh, M.D.

Dr. Raiszadeh's completed medical school at UC San Francisco, orthopedic surgery residency at UC Davis and his Pediatric and Adult Spine Fellowship at the Hospital for Joint Diseases/NYU in New York City. He has 20 years of experience with the broad range of spine surgery including minimally invasive surgery, complex spinal disorders such as scoliosis and kyphosis, and cervical spine disorders. During this 20 years he has noticed a dramatic increase in patients turning to surgery for treatment of neck and low back pain, but many of them not getting their desired long-term result. He therefore became increasingly interested in improvement and standardization of non-operative treatment. By developing the best aspects of non-operative treatment in an atmosphere of empowerment to maximize the body’s own healing capacity, he noticed that many fewer patients required surgery, and the ones who underwent surgery had much better long term results.